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Case No |
Code |
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Jersey Employment Tribunal
Application Form (in respect of a Collective Employment Dispute)
Employment Relations (Jersey) Law 2007
Please read the notes on this page carefully before filling in this form.
You may find it helpful to take advice before filling in the form. Advice can be obtained from JACS, the Citizens Advice Bureau or a lawyer.
How to fill in this form
Please complete using CAPITAL letters and a black pen.
Please make sure that all the information you give is as accurate as possible.
Where there are choices i.e. Yes or No, please tick the one that applies.
If you fax the form, please also hand deliver or send us a copy in the post.
Please Note: A copy of this form will be sent to the other party involved. We will also send a copy to the Jersey Advisory and Conciliation Service (JACS) unless you tell us not to. Please tick the box if you don’t want us to forward a copy to JACS.
Notwithstanding the above it is important to note that should the other party/parties request involvement by JACS these details will be sent to that service.
JERSEY EMPLOYMENT TRIBUNAL
APPLICATION FORM IN RESPECT OF COLLECTIVE EMPLOYMENT DISPUTES
FOR COMPLETION BY EMPLOYERS, EMPLOYERS’ ASSOCIATIONS, EMPLOYEES OR TRADE UNIONS
Section 1
1. Name and address of Applicant |
Section 2
2. Names and addresses of other parties involved in the collective employment dispute (‘the Dispute’) |
Section 3
3. Are you requesting that the Tribunal receive this Application Form from you as: - An employee Yes / N o
- An employer Yes / N o
- As an employers’ association Yes / N o
- A trade union Yes / N o
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Section 4
4.1 If an employers’ association or trade union is making this application please confirm that: - The employers’ association or trade union is registered in accordance with the provisions of Employment Relations (Jersey) Law 2007 (‘the Law’) Yes / No
- You are duly authorised by the employers’ association or trade union to make this application to the Tribunal. Yes / No
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4.2 Please provide details of the registration of the employers’ association or trade union: |
4.3 Please confirm that the Tribunal Secretary and members of the Tribunal hearing this application may make notes from the information contained in the Register of Trade Unions and Employers’ Associations and may take copies of any documentation deemed relevant for the purposes of this hearing. Yes / No |
Section 5
5.1 Please confirm whether the dispute refers to: | - the terms of employment of one or more employees;
| Yes | No | - the conditions in which one or more employees are required to work;
| Yes | No | - the engagement or non-engagement of one or more persons as employees, or the termination or suspension of employment of one or more employees;
| Yes | No | - the termination or suspension of the duties of employment of one or more employees;
| Yes | No | - the allocation of work or the duties of employment as between employees or as between groups of employees;
| Yes | No | - matters of discipline or grievance;
| Yes | No | - the membership or non-membership of a trade union on the part of one or more employees;
| Yes | No | - facilities for officials of trade unions;
| Yes | No | - an issue as to whether or not an approved code of practice is being observed by one or more employers or by one or more employees.
| Yes | No | - A recognition dispute (if you have answered Yes to this point refer to paragraph 5.2 below).
| Yes | No |
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5.2 In respect of recognition dispute ONLY, please confirm the following details: |
- That the employer has employed on average more than 21 employees in the period of 13 weeks immediately preceding the date on which the dispute arose.
| Yes | No |
- That the application concerns a dispute over an approved code of practice as to the recognition of trade unions and relates to:
- Pay - Hours of work - Holidays | Yes Yes Yes | No No No |
5.3.1 Does the Dispute involve a Minister of the States of Jersey acting in the role of employer? Please provide details of the authority vested in such Minister on a separate sheet. | Yes | No |
5.3.2 If the answer to 5.3.1. is YES does the Dispute relate to the matters described in article 5(3) of the Law? | Yes | No |
Section 6
6.1 Are you making this application for a hearing before the Tribunal with the consent of each party to the Dispute? | Yes | No |
6.2. If the answer to 6.1 is YES, please attach written evidence of such consent to this form. |
6.3. If the answer to 6.1. in No, please confirm that: |
6.3.1. You are a party to the Dispute | Yes | No |
6.3.2. You believe that; (a) as far as reasonably practicable all other available procedures have been applied unsuccessfully to resolve this dispute | Yes | No |
(b) a party to this Dispute is acting unreasonably by failing to comply with an available procedure in order to resolve the Dispute: | Yes | No |
(c) You acknowledge that a copy of this application form will be sent to each party to the Dispute | Yes | No |
Section 7
7.1. Has JACS been involved in the negotiation or attempted conciliation of this Dispute | Yes | No |
7.2. Name of JACS officer |
Section 8
8.1 Should this application for a hearing be given priority over other cases by the Tribunal | Yes | No |
8.2.1. If the answer to 8.1. is YES: give a brief reason for urgency of application |
8.2.2. Confirm that you are able to attend the Tribunal at short notice (i.e. 48 hours, or less) | Yes | No |
Section 9
9. Please attach a report setting out brief details of the Dispute and the attempts that have been made to resolve it. |
Section 10
10.1 Representative’s name: | |
10.2 Name of the representative’s organisation: | |
10.3 Address: | Postcode |
10.4 Phone number: | |
Signature: ……………………………………………….. Date: …………………………………….
Data Protection (Jersey) Law 2005.
All information provided is treated in compliance with the Data Protection Law. The information is required by the Tribunal to assess the claim. A copy of this form will be sent to the other party/parties. A copy of the form will also be sent to the Jersey Advisory & Conciliation Service (JACS) unless you ask us not to. (See front sheet) Notwithstanding the above it is important to note that should the other party/parties request involvement by JACS these details will be sent to that service.
Please check the form to ensure that you have included all the relevant information
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